Active NPI
Nephrology Associates SC
- Specialist
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEPHROLOGY ASSOCIATES SC
- Practice address
- 1260 Sentry Dr Ste 140
Waukesha, WI 53186-5990 - Phone
- (262) 524-1024
- Fax
- (262) 524-8767
- NPI assigned
- Oct 27, 2006
- Last updated
- Dec 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer L Christman
- Title
- Administrator
- Phone
- (262) 524-1024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | WI | Primary |
Addresses
Primary practice location
1260 Sentry Dr Ste 140
Waukesha, WI 53186-5990
Mailing address
1260 Sentry Dr Ste 140
Waukesha, WI 53186-5990
Phone (262) 524-1024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32807900 | Medicaid | WI |
Other names 1
- Nephrology Associates of Waukesha, SC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040216000115 | WI | Part B Supplier - Clinic/Group Practice | 7416841663 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Watertown, WI; Waukesha, WI; Sussex, IL; New Berlin, WI; Muwonago, WI; Germantown, WI; Fort Atkinson, WI; Brookfield, WI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Nephrology Associates of Waukesha, SC - Fort Atkinson
- Specialist
- Fort Atkinson, WI
- NPI 1326222423
O20040216000115
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0896397 | Nephrology Associates, SC | Provider-performed microscopy | Jan 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
2085 N Calhoun Rd
Ste 201
Brookfield, WI 53005
Phone 26278299856
1256 Corporate Ctr Dr
Oconomowoc, WI 53066
Phone (262) 567-3199
1260 Sentry Dr
Ste 140
Waukesha, WI 53186
Phone 2625241024300
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Waukesha, WI
- NPI 1659390896
-
- Nephrology Physician
- Waukesha, WI
- NPI 1821626979
-
- Nephrology Physician
- Franklin, WI
- NPI 1639380926
-
- Nephrology Physician
- Waukesha, WI
- NPI 1477572881
-
- Acute Care Nurse Practitioner
- Waukesha, WI
- NPI 1194595447
-
- Nephrology Physician
- Waukesha, WI
- NPI 1447413570
-
- Nephrology Physician
- Waukesha, WI
- NPI 1942255849
-
- Nurse Practitioner
- Waukesha, WI
- NPI 1275858144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1871679514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 SENTRY DR STE 140",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531865990",
"telephone_number": "262-524-1024",
"fax_number": "262-524-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 SENTRY DR STE 140",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531865990",
"telephone_number": "262-524-1024",
"fax_number": "262-524-8767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "CHRISTMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "262-524-1024",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32807900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nephrology Associates of Waukesha, SC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Nephrology Associates of Waukesha, SC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.